Japanese ultra-long-term hospitalization of psychiatric hospital discussion

Japanese ultra-long-term hospitalization of psychiatric hospital discussion

Ken Udagawa

"precisely because he argued that Britain needed to be able to celebrate its independence from India - for the master is always more dependent on the slave than the slave is on the master " (words Noel Brailsford/ quoted from PF Drucker “ Adventures of Bystander ")

It is cruel sentence. Independence from Britain happened in India in the 1940s. The first British polemicist to support the Indian independence movement Drucker wrote it was Noel Brailford. Brailsford is unfamiliar for people. But when the India’s independence from the United Kingdom, co-authored Jawahaneru Nehru (India first Prime Minister) and Mahatma Gandhi in the United Kingdom, needed of help to publish in the paper the 1920s to assert Indian independence. Brailsford introduced them to the publishers in England. PF Drucker’s books boom in Japan once in five years. His first book was published 1939 ‘The end of “the economic man”’

Noel Brailsford wrote the preface to the first book of Drucker, it's the person who enables the difficult publication. Conclusion of ‘"the end of " economic man"’ predicted Nazis’ seriously murder all the Jewish people and, Hitler and Stalin cooperated. Dracker wrote those conclusions in 1930s. It was not acceptable to the publishers of the era, to publish this book seems to have extremely difficult. It seemed we can not find The Braisford’s preface of the first edition of this book in Japanese. Noel Brailsford was a dissident activist based only on conscience. For more information you want to read Chapter 9 of Adventures of Bystander of Drucker.

In 1920s, Brailsford the in order to save the British soul, became the strongest commentator of India independent in the United Kingdom. But his logic was the precisely quoted at beginんing of this text.

So Indian side hated him, his voice was introduced by Drucker

“They can’t tell me enough how much they owe me. They need me still. but I don’t expect to be invited when India celebrates its independence”

He wasn’t.

I dare to write something to cause misunderstood.

Psychiatric hospital in Japan, there is a strange present situation that there are patients 20yeas, 30yeas, 50yeas, 70 years ultra-long-term hospitalized. Speaking from the logic of the Brailsord, this is the great dependence on hospitalized patients by psychiatrists, just said that psychiatric patients abuse (psychiatric ““patient addiction””). The ““patient addiction”” by psychiatrist is the structure of Japan's mental hospital that is an ultra-long-term hospitalization. Japanese policies to reuse mental hospital for the group home by reforming the hospital word, represent hospitals’ unconscious “patient addiction”. This means we consumers will be see the psychiatric “patient addiction” psychiatrist in the mental hospital. And since the addiction is not able to be aware of it, psychiatrist can not whatever excuse for.

In Japanese present situation even the part of the psychiatric social workers as the assistant of the patients, who work for the region patience, not in the hospital does not see that psychiatric medical care is onto psychiatric “patient addiction”. I think “patient addiction” should be the subject of the medical treatment, including the psychiatrists. As seems as they can’t see that situation.

I think the majority are furious and get a sense of repelling to I say that way. But I do not mean the psychiatric patient's are the slaves. For the problem of the ultra-long-term hospitalization is not end in psychiatric hospital industry of Japan, as Drucker mentioned Indian independence movement in his book, I felt the same structure of Brailsford words as the analogy to the Japanese ultra-long-term hospitalization problem.

In the Japanese Non-profit-organization COMHBO I say the independence of the patients from patients’ side, and I use the word RECOVORY repeatedly, that we consumer ourselves need to be change by ourselves. In 2015 we held the Japanese recovery forum, there someone mentioned “we should think about people, who are hospitalized or regional, could not come to this forum, this is the problem. How we can help them?” The answer could I found in the words of Brailsford. Psychiatric “patient addiction” around the mental health care team, again are in the middle of addiction psychiatrists could not aware of it. Psychiatrist and psychiatric health care team who depend on patient role who thought to make a lot of people with so called patient role, even people engaged in psychiatry in the region, and family and patients ourselves are in the patient role addiction I could say. We might use the word “Recovery” to express the recover from the patient role addiction syndrome.

As we know that addiction if the subject of medical treatment. When the psychiatric industry should responsible for the addiction caused by brain, which are suffering their own addiction, no one could grasp the problem. We patients do not need to be bothered by patient role addiction by psychiatrist to maintain the industrial scale of the private psychiatric hospital management.

Perhaps a lot of people including psychiatrists are aware of their “patient addiction”. There might be people who feel the guilty of the conscience.

But the issue of ultra-long-term hospitalization, the psychiatrists who say that ultra-long -term hospitalized patients are unable to self-reliance to get back to society as patients themselves say.

In fact, perhaps people are a lot that are aware of their “patient addiction”. There might be some people who feel a guilty for the conscience.

But on the issue of ultra-long-term hospitalization, psychiatric health care team say there is a society where ultra-long-term hospitalization patient is unable to live independently so they depend on psychiatric hospitals, in other words psychiatrists, who are saying so, can not be independent from the patients. And they can not be aware of it.

I will say ultra-long-term hospitalization problem is not the problem on the psychiatric patient side. Actually people might have been aware that it is the medical side issue. But now also people have been avoided in many cases to dare to voice it with something with construct logical basis.

The strange words from the people who agreed to reuse the mental hospital as the psychiatric group home, while they guarantee the income for people who work in the private psychiatric hospital, they could eliminate the private psychiatric hospital.

This is the unaware of the evidence of the “patient addiction”. After decades, they will notice that they are not able to withstand for their feeling of guilty of the conscience.

As their problems of the Japanese policies, mental hospital for the private sector built one after another, it is because for Japanese government had been recommended that to reduce the labor costs for mental health hospital management. Some people say rather than that there is a responsibility to psychiatrist and mental health care team, to understand the current situation, that we should only accept the Japanese situation. They are unaware of who have the “patient addiction”.

In turn of myself, when we think about the ultra-long-term hospitalization problem as for our own issue, as the private psychiatric business model with “patient addiction”, for me, as a patient who is in region attending to a psychiatric clinic, anytime, any moment become even the ultra-long-term hospitalized patient when hospitalized. Each time the social situation changes, the people who are psychiatric patients experienced the change of various situation. Psychiatric patients who live in our regiona are aware that we are the people who could be ultra-long-term hospitalized patients. Always we are aware of it. We should voice that.

People who are in ““patient addiction”” seem to be unaware of any wrong matters. For example, someone also said after thirty years, there will be no long term hospitalization problem in Japan. This can be mean Japanese statistics on the thirty years in the future, the system of the mental health hospitalization within the three months to change the hospital , now people who have ultra-long-term hospitalization will pass away while all were hospitalized, since to a number of death discharge.

And patients remain in mental hospital after thirty years will become to repeat the changing hospital every three months, or they will go to mental hospital wards and go to group home inside the mental hospital buildings a little while. This is also a psychiatric ““patient addiction””. This is an example of unawareness of it.

Also as my own issue, fifteen or sixteen years ago, if I also once admitted to mental hospital once, now I remember that for the term of hospitalization in the mental hospital was twenty years or thirty years long was a commonplace. And Speaking of hospitalization for those days, one year, two years was a normal term. There was a time no one considered such as discharge within three months. My hospitalization was 6 months average. I was just lucky.

Only fifteen or sixteen years ago it meant the end of life once admitted to psychiatric hospital psychiatric. It was so sad.

The individual patient who is in the situation of ultra-long-term hospitalization, when you see them, they are around the mental health team who says the patient says after thirty years hospitalization, society is changed largely so the patient do not have the motivation of discharge from here. And strangely they ask to us, outpatients, to help the ultra-long-term patients get the motivation to go back to society

Such a strange problem they are asking us. After thirty or forty, even seventy years they ignored the patients human rights in the mental hospital, then they say that patients do not have the motivation of the discharge. If you wants them to discharge just write discharge permission. Then finish your problem. Their logic is since Japan changed the policy to the time to discharge. They say without patients’ own willingness or motivation to live in society, patients could not live out of mental hospital now. This is as same as the statement that they keep to ignore the human rights of the person. It will be human rights destruction that they do not write discharge permission. The cruel disregard for human rights than has been continued for thirty or more years. It is equal to the declaration that they will continue it.

I will end up this text to write the analogy from the cruel sentence of the beginning of this text here.

as soon as possible the psychiatrist, who can not write a discharge permission for the patients, must be independent from patients because the psychiatrists are always more dependent on the patients than the patients are, even though patients without willingness to discharge.

国立障害者リハビリテーションセンターホームページより
http://www.rehab.go.jp/College/japanese/training/27/pdf/soudansien_kougi4-4.pdf

平成23年度、５年以上の長期入院からの退院者数は転院・院内転化、死亡を除くと約３２１人

厚生労働省（2012）平成21年精神科病院退院患者の退院先の状況（p１９）
http://www.mhlw.go.jp/stf/shingi/2r98520000028siu-att/2r98520000028syn.pdf
平成２１年の２０年以上長期入院からの退院者数は転院・院内転化、死亡を除くと人数は約７０名。